SUNDAY/MONDAY « October 10-11, 1999
Clinical Congress News
The American College of Surgeons ¢ 85th Clinical Congress ¢ October 10-15, 1999 ¢ San Francisco
Welcome
On behalf of the Board of Regents, it is my
distinct honor and privilege to welcome you
to San Francisco
for the 85th Clini-
cal Congress of
the American Col-
lege of Surgeons.
The Clinical
Congress is the
world’s largest
educational meet-
ing for surgeons
in all specialties.
Total attendance,
including other
health care pro-
fessionals, scien-
tific and industrial
exhibitors, members of the press, and in-
vited guests, is expected to exceed 15,000.
Under the direction of C. James Carrico,
MD, FACS, Chair, and A. Brent Eastman,
MD, FACS, Vice-Chair, the College’s Pro-
Dr. Sheldon
gram Committee has planned another out-
standing and timely program. Activities
formally begin at 9:30 on Monday morning.
Herand Abcarian, MD, FACS, will deliver
the Opening Ceremony Lecture, “The Ameri-
can Society of Colon and Rectal Surgeons
1899-1999: A Century of Progress.” Immedi-
ately following the opening ceremonies, the
full program of general and specialty ses-
sions will commence.
The annual nine named lectures will be
presented by a distinguished group of speak-
ers from around the world. Additional edu-
cational highlights of the meeting include
sessions on regional lymph node manage-
ment in oncologic diseases, Internet Web-
based CME, the implications for surgery of
Medicare in transition, and the practice of
medicine vs. the business of medicine.
The week’s meetings and activities will
culminate with the awarding of Fellowship
in the College to 1,490 Initiates during the
Convocation ceremonies on Thursday
evening in the Esplanade Ballroom of
Moscone Center.
The Clinical Congress continues to be the
hallmark event of this organization. It re-
mains a testament to the dedication, organi-
zational ability, foresight, and cooperation
of the College staff, committees, and attend-
ees.
I wish to personally thank the many indi-
viduals who make this meeting happen, and
extend to each attendee my best wishes for
an exciting and productive meeting.
Dr. Sheldon is chair, department of surgery,
University of North Carolina School of Medi-
cine, Chapel Hill, and the 79th President of
the American College of Surgeons.
Dr. Abcarian to deliver
Opening Ceremony Lecture
t 9:30 am on Monday dur-
ing the Opening Ceremony
for the 1999 Clinical Con-
gress, Herand Abcarian,
MD, FACS, will deliver a lecture on
“The American Society of Colon and
Rectal Surgeons 1899-1999: A Cen-
tury of Progress.” The ceremony will
take place in the Esplanade Ballroom
of Moscone Center.
Dr. Abcarian is the Turi Josefsen
Professor and chairman, department
of surgery, University of Illinois Col-
lege of Medicine at Chicago.
He received an MD degree from
Tehran University School of Medi-
cine in 1965, and came to Chicago’s
Cook County Hospital as an intern in
1966. His academic appointments
include: instructor in surgery, Loyola
University Stritch School of Medi-
cine (1970-72); assistant and associ-
ate professor of surgery, Abraham
Lincoln School of Medicine, Univer-
sity of Illinois (1972, 1977); profes-
sor of clinical surgery, University of
Illinois College of Medicine at Chi-
cago (1983); and his present posi-
tion as Turi Josefsen Professor of
Surgery (1991).
Dr. Abcarian, a prolific author him-
self, serves on the editorial staff of
Diseases of the Colon and Rectum and
Current Surgery. He is also areviewer
for the World Journal of Surgery and
Annals of Surgery.
An active member of numerous
medical societies, including the ACS,
Dr. Abcarian has been a leading fig-
ure in the American Society of Colon
and Rectal Surgeons (ASCRS) for
many years. He has served on the
ASCRS advisory council, education
committee, recertification commit-
tee, and bylaws committee, among
others. He has served the ASCRS as
secretary (1984-1986) and as presi-
dent (1988-1989).
This experience well prepares him
for the topic of Monday’s lecture on
the centennial of the ASCRS. The
ASCRS is the leading professional
society representing more than 1,000
oa l- certified colon and rectal sur-
geons and other surgeons dedicated
to advancing and promoting the sci-
ence and practice of the treatment of
patients with diseases and disorders
affecting the colon, rectum, and anus.
The ASCRS was founded in 1899
as the American Proctologic Society
by a small group of physicians in
Columbus, OH, led by Dr. Joseph
Mathews (1847-1928). Dr. Mathews
was one of the first physicians in the
U.S. to confine his practice to proc-
Web-based CME:
The future of education
n Tuesday morning the
ACS Regental Committee
on Informatics will spon-
sor a panel discussion to
consider Internet Web-based con-
tinuing medical education. The panel
will meet from 8:30 am to 12:00 noon
in Room 303 of Moscone Center.
David A. Krusch, MD, FACS, Roch-
ester, NY, and Robert L. Parry, MD,
Los Angeles, CA, will serve as mod-
erators for the session. Scheduled
topics and speakers are: Developing
and Implementing a Multimedia/
Internet-Based Medical School Cur-
riculum, by Dixie L. Fisher, PhD;
Issues Surrounding the Develop-
ment of an Office/Practice-Based
Web Site, by William D. Hardin, Jr.,
MD, FACS; What Online Surgical
References and CME Opportunities
Exist on the Net Today and What
Can We Expect from the Established
Publishers in the Near Future? by
W. William Haines; and Your
Doctor.com: How Silicone Valley Is
Changing the Way You Will Practice
Medicine, by James Norman, MD,
FACS.
Committee members are also in-
volved in Postgraduate (PG) Course
No.9 and 9A, Computers in Surgery,
which offer in-depth sessions for
beginning and advanced computer
users. Dr. Krusch and Richard R.
Sabo, MD, FACS, Bozeman, MT, will
serve as co-chairs for the courses.
The courses feature lectures and
hands-on workshops that will pro-
vide a practical working knowledge
of current computer concepts for the
practicing surgeon. PG No. 9 (Ba-
Dr. Abcarian
tology. In 1973, the society changed
its name to the American Society of
Colon and Rectal Surgeons.
In May of this year, the society
held a 100 Anniversary and Tripar-
tite Meeting in Washington, DC,
drawing an international assembly of
physicians and speakers. At this meet-
ing, Dr. Abcarian delivered a talk on
conventional and unconventional
treatment options for fistula in ano.
sic) includes an introduction to ba-
sic PC hardware and concepts, types
and methods of Internet connectiv-
ity, remote access to clinical data,
medical knowledge-based searching
techniques, and medical resources
available on the Internet. PG No. 9A
(Advanced) provides the advanced
computer user with instructions in
PowerPoint for scientific presenta-
tions, bibliographic management
(EndNote, Reference Manager), im-
age manipulation for publication/
presentation, how to create/give an
effective electronic presentation,
and beginning Web site publication
techniques.
A complete listing for PG No. 9
and 9A may be found on pages 162-
164 of the Clinical Congress Pro-
gram Book.
New organization formed
for residents/Associate FACS
The Candidate and Associate Society of
the American College of Surgeons (CAS-
ACS), a new organization of surgical
residents and Associate Fellows, will
hold its first meeting on Sunday, from
1:00 to 5:00 pm, at the San Francisco
Marriott, Salon 9. All residents and
young surgeons are invited to attend.
The CAS-ACS is the first organized
group for surgical residents in all spe-
cialties and will serve as a forum for
residents and young surgeons and pro-
vide them with a role in College affairs.
The introductory program features one
of surgery’s most famous personalities,
Michael E. DeBakey, MD, FACS, who
SREC symposium to
examine tissue engineering
On Tuesday morning the ACS Surgical
Research and Education Committee
(SREC) will sponsor a symposium titled
Tissue Engineering: Building the Bionic
Man. The session will run from 8:00 to
10:30 am in Room 133 of Moscone Cen-
ter. Philip H. Gutin, MD, FACS, will
serve as moderator for the session.
Primitive human stem cells are being
isolated, tissues are being created in
vitro, cells are being engineered to pro-
duce missing proteins, and all of this
technology is either being used cur-
rently or will be available for repair and
replacement of damaged tissues in our
lifetimes. Surgeons are already at the
Registration locations and hours
forefront of this research and will be
increasingly important as more clinical
applications are developed and surgical
access to various organ systems is re-
quired. This symposium draws together
the leaders in tissue engineering re-
search in the various surgical
subspecialties to give an update on what
is current and what is to be expected as
this exciting research evolves.
Scheduled speakers are: Achilles A.
Demetriou, MD, FACS, Los Angeles,
CA; Joseph M. Lane, MD, New York,
NY; David Pincus, MD, Washington,
DC; and Anthony Atala, MD, FACS,
Boston, MA.
If you have received your credentials for the Clinical Congress, to verify your
attendance simply turn in your verification card at the advance registration
desk to receive a badge holder and Clinical Congress Program Book. The
registration area in the North Hall of Moscone Center will be open Sunday,
October 10, 10:00 am to 6:00 pm, Monday October 11 through Wednesday,
October 13, from 7:00 am to 5:00 pm, and Thursday, October 14, from 7:30 am
to 5:00 pm. As a convenience, advance registration will be open Sunday only
from 10:00 am to 8:00 pm at the Hilton San Francisco and Towers.
If you received a badge or Postgraduate Course ticket in the mail, you can
redeem your verification card for a badge holder, Program Book, and PG manual
at these locations.
The following companies have supported the Clinical Congress with
advertisements in the Exhibit Guide section of this issue:
Applied Medical Research
Baxter Healthcare Corporation
Cogent Light Technologies
Davol, Inc.
Documatics
Ethicon, Inc.
General Surgical Innovation
ineedaDoc.com
2 The American College of Surgeons
InnerDyne
Lone Star Medical
Medtronic Functional Diagnostics
MegaDyne Medical Products
Optimize, Inc.
Scion International, Inc.
Valleylab, Inc.
Weck Closure Systems
will speak on “High-Profile Patients.”
Details of the organization and its
opportunities for residents and young
surgeons will be presented during the
afternoon meeting, which will conclude
with a “town meeting” discussion on
graduate surgical education and the
Congress, universal health coverage,
Visit a special exhibit showcasing the Surgical Education and Self-Assessment
and proposed legislation on a patients’
bill of rights. Information about the
society, its career opportunities Web
site, and application forms will be avail-
able at the CAS-ACS program and at the
Fellowship booth in the ACS Resource
Center, located in the technical exhibit
area of Moscone Center.
Program (SESAP) No. 10, located in the lower level North-South Hall concourse. Visitors
may sample the new multimedia CD-ROM version of SESAP No. 10.
CME credit
The American College of Surgeons is accredited by the Accreditation Council
for Continuing Medical Education (ACCME) to sponsor continuing medical
education for physicians. The American College of Surgeons designates that
this continuing medical education offering also meets the criteria for hour-to-
hour credit in Category 1 as outlined by the American Medical Association for
the Physicians’ Recognition Award.
To record your attendance for continuing medical education and
recertification requirements, use the card that is bound into the back of the
official Clinical Congress Program Book. Extra copies of these cards may be
obtained at the Message and Information Centers in Moscone Center. These
cards are for your personal record and in most circumstances do not need to be
validated.
Clinical Congress News
VOLUME 50 NUMBER 1
Editor
Stephen J. Regnier
Associate Editor
Jennifer F. Herendeen
Photography Editor
Tina Woelke
Director of Communications
Linn Meyer
October 10-11, 1999
Photography
Chuck Giorno Photography
Published daily October 10-15
Office: North Hall
Moscone Convention Center
Phone: 978-3523
Items of interest or information must be
reported to the office of the Clinical Con-
gress News by 1:00 pm on the day preced-
ing the desired day of publication.
Dr. and Mrs. Jordan to receive
Distinguished Philanthropist Award
he Fellows Leadership Soci-
ety will hold its 11th annual
luncheon on Monday, Octo-
ber 11, beginning at 11:30am
at the Old Federal Reserve Bank Build-
ing, located at 301 Battery Street, adja-
cent to the Park Hyatt Hotel. The
luncheon will feature the presentation
of the 1999 ACS Distinguished Philan-
thropist Award to Paul H. Jordan, Jr.,
MD, FACS, and his wife, Lois.
Through their generous support of
the College’s Development Program,
including the establishment of two sub-
stantial gift annuities and memberships
in the Fellows Leadership Society’s
Legacy Circle and Mayne Heritage, Dr.
and Mrs. Jordan have made a lasting
and tangible contribution that will help
sustain the future of surgery for years
to come.
Dr. Jordan has enjoyed a long and
distinguished career in surgery since
his graduation from the University of
Chicago (IL) School of
Medicine in 1944. Fol-
lowing three years of
military service in the
U.S. Army Medical
Corps, he completed sur-
gical residencies at the
University of Illinois and
Hines VA Hospital. He
was certified by the
American Board of Sur-
gery in 1954.
For nearly 20 years, he
served as chief of sur-
gery at the Veterans Ad-
ministration Hospital in
Houston, TX, and also
held appointments at the
Methodist Hospital and St. Luke’s Epis-
copal Hospital, both in Houston. His
more than four decades of active par-
ticipation in academic medicine in-
cluded both the University of California
at Los Angeles and Baylor College of
Dr. Jordan
Medicine, where he was
named professor emeri-
tus in 1996. His dedica-
tion to advancing the
clinical practice of sur-
gery is demonstrated in
more than 180 published
articles in leading medi-
cal journals and 10 films
and videos.
Active in organized
medicine, Dr. Jordan has
served as president of the
Houston Surgical Soci-
ety, the Association of
Veterans Administration
Surgeons, and the Soci-
ety for Surgery of the Ali-
mentary Tract, as well as in numerous
other leadership positions. He also
served the American College of Sur-
geons in a number of roles, including
chair of the International Relations Com-
mittee.
Dr. Jordan has received numerous
other awards and honors from organi-
zations such as the Swedish Surgical
Society, the University of Chicago Medi-
cal Alumni Association, the Association
of Veterans Administration Surgeons,
and was the first recipient of the
Theodore Kocher Benefactor Award
from the International Surgical Foun-
dation.
Dr. and Mrs. Jordan are the eleventh
recipients of the ACS Distinguished
Philanthropist Award. Previous honor-
ees have been Dr. and Mrs. LaSalle D.
Leffall, Jr., MD, FACS; Dr. and Mrs.
Eric T. Lincke, MD, FACS; Dr. and Mrs.
Neil Clements, MD, FACS; Dr. and Mrs.
Scott Woods, MD, FACS; the Islami
Family and Islami Foundation; Armand
Hammer, MD; John Conley, MD, FACS;
the Clowes Family and Clowes Fund of
Indianapolis; Oliver H. Beahrs, MD,
FACS; and Julius H. Jacobson II, MD,
FACS.
Cancer activities planned for Wednesday
The Commission on Cancer (COC) will
sponsor a symposium and named lec-
Wednesday
The symposium, Changing Trends in
Melanoma Management, will be held
from 8:00 to 10:30 am in Room 134 of the
Moscone Center. The session will ex-
amine current information on recent
developments in the management of
patients with melanoma. Leading ex-
perts in the field of melanoma treat-
ment will review updated results of a
randomized trial of elective lymph node
dissection in patients at risk for regional
nodal metastases, related issues and
regarding lym-
PCSuils, CONLOVETSICs
phatic mapping with sentinel node bi-
opsy, and clinical trials that are ongoing
to address these issues. Speakers will
also address issues regarding the use
of adjuvant high-dose alpha interferon
for patients at risk for recurrence, the
role of surgery in the management of
patients with metastatic disease, and
guidelines for follow-up.
Co-moderators for the session are
Charles M. Balch, MD, FACS, and
Daniel G. Coit, MD, FACS. Featured
presenters include Don Morton, MD
FACS, Jeffrey Gershenwald, MD, John
M. Kirkwood, MD, and Kelly M.
McMasters, MD. A complete listing of
topics may be found on page 33 of the
Clinical Congress Program Book.
The Commission on Cancer Oncol-
ogy Lecture will take place from 11:00
am to 12:15 pm in the Esplanade Ball-
room of Moscone Center. Cornelius J.
H. van de Velde, MD, will present “The
Surgeon and Surgical Procedure Are
Important Prognostic Factors in Can-
cer Treatment.” Dr. van de Velde is
professor of surgery and head of the
department of surgical oncology at Uni-
versity Hospital of Leiden in The Neth-
erlands.
Further information regarding these
COC events may be obtained by con-
tacting the Cancer Department Office
in the Hilton San Francisco and Tow-
ers, Sutter B/Sixth Floor, Bldg. 3.
COC conference slated for November
The Commission on Cancer’s fourth
annual conference will be held on Fri-
day and Saturday, November 5-6, 1999,
at the Wyndham Chicago (IL) Hotel,
located on Chicago’s Magnificent Mile,
and in the College headquarters build-
ing. Physicians, cancer registrars,
nurses, research associates, and admin-
istrators are invited to attend.
This year’s conference, Building
Blocks of Quality for Cancer Programs,
will feature speakers from across the
country who are leaders in their fields,
and will offer timely and practical infor-
mation on ways in which cancer pro-
grams can be enhanced.
On Friday, following the morning’s
sessions on cancer program leadership
and data quality, lunchtime roundtable
discussions grouped by professional
specialty will focus on ways in which
the Commission on Cancer can help
liaison physicians, registrars, and ad-
ministrators meet the requirements for
an approved program. A boxed lunch
will be provided, and participants must
register in advance. Following lunch,
there will be simultaneous breakout
sessions on the Approvals Program and
the Education Program. The Approvals
Program session will highlight the net-
work standards and survey process, and
Frederick L. Greene, MD, FACS, will
speak on the surveyor’s perspective. In
the Educational Programs session,
there will be talks on the stereotactic
breast biopsy verification program,
video teleconferencing, and the latest
in education technologies.
Saturday morning will begin with si-
multaneous breakout sessions on clini-
cal information and standards of the
Commission on Cancer and the Ameri-
can Joint Committee on Cancer (AJCC).
The Clinical Information session will
offer presentations on the future of the
National Cancer Data Base and on is-
sues of privacy, confidentiality, and se-
curity. Eric Durbin, MS, computer
systems manager for the Kentucky Can-
cer Registry, will discuss “HL-7: What
You Need to Know.” During the Stan-
dards session, JoAnne Sylvester, Asso-
ciate Director of the Cancer Department,
will discuss the importance of Commis-
sion standards; Irvin D. Fleming, MD,
FACS, chair of the American Joint Com-
mittee on Cancer, will discuss the fu-
ture of AJCC staging; and Lynda
Douglas, CTR, Quality Assurance Ad-
ministrator for the Cancer Department,
will discuss the Commission’s comput-
erized Inquiry and Response System.
The American College of Surgeons
In addition to these sessions, M. Asa
Carter, CTR, Administrative Manager
of Accreditation and Standards for the
Commission on Cancer, will give a spe-
cial presentation titled “Survey Savvy”
on November 4 from 1:00 to 5:00 pm.
This popular session helps physicians,
registrars, and administrators to pre-
pare for upcoming surveys by review-
ing the standards and requirements for
approved programs. There is an addi-
tional fee for this program.
For a registration brochure, includ-
ing hotel and transportation informa-
tion, please contact Elaine Fulton at312/
202-5401 or efulton@facs.org. The reg-
istration brochure is also available on
the College’s Web site at www.facs.org.
October 10-11, 1999 3
Patrick C. Walsh, MD
A. W. Beasley, OBE, ED,
FRCS(Ed), FRACS, FACS
F. Griffith Pearson, MD,
FACS, FRCSC
American Urological
Association Lecture
Sponsored by the AUA since
1967, featuring diverse topics in
surgery.
Monday, 10:15-11:15 am
Moscone Center,
Esplanade Ballroom
“Anatomic Discovery and
Operative Video Documen-
tation to Improve Outcomes
following Radical Prostatec-
tomy: A Surgical Paradigm”
History of Surgery
Lecture
Sponsored by the Advisory Coun-
cil for Neurological Surgery and
first delivered in 1992 to explore
the history of surgery.
Monday, 1:30-2:30 pm
Moscone Center,
Room 200-212
“The Quivering King-The
Jamestown Settlement and a
Misunderstood Monarch”
John H. Gibbon, Jr.,
Lecture
First delivered in 1971 to honor
this pioneer of open-heart sur-
gery.
Monday, 3:30-4:30 pm
Esplanade Ballroom
“Evolution and Current Sta-
tus of Surgery of the Upper
Airways”
Kenneth L. Mattox, MD,
FACS
Francis D. Moore, MD,
FACS
Cornelis J. H. van de Velde,
Scudder Oration on
Trauma
Evolved from Oration on Frac-
tures (1929) to honor Charles
Locke Scudder as founding mem-
ber of the College and major con-
tributor to surgery of trauma.
Tuesday, 1:30-2:15 pm
Moscone Center,
Esplanade Ballroom
“TraumaLine 2000”
Ethics and Philosophy
Lecture
Established in 1990 through the
generosity of John J. Conley, MD,
FACS, to support the explora-
tion of ethical issues in surgery.
Wednesday, 9:00-10:00 am
Moscone Center,
Esplanade Ballroom
“Ethics: From Percival to
G.B.S. (The Doctor’s Di-
lemma)”
Commission on Cancer
Oncology Lecture
Established in 1987 to explore
major developments in oncology
and to focus on the surgeon’s role
in patient care.
Wednesday, 11:00
12:15 pm
Moscone Center,
Esplanade Ballroom
“The Surgeon and Surgical
Procedure Are Important
Prognostic Factors in Can-
cer Treatment”
Named lectures during the Clinical Congress
I. S. Ravdin Lecture in
the Basic Sciences
Sponsored by I. S. Ravdin Surgi-
cal Society since 1964 to honor
I. S. Ravdin, MD, FACS, by pro-
moting the application of basic
sciences to surgery.
Wednesday, 1:30-2:15 pm
Moscone Center, Esplanade
Ballroom
“Red Cell Substitutes: Past,
Present, and Future”
A. Gerson Greenburg, MD,
PhD, FACS
Distinguished Lecture of
the International
Society of Surgery
Established in 1990 to honor
distinguished international sur-
geons
Wednesday, 3:00-4:00 pm
Moscone Center, Esplanade
Ballroom
“Minimal Access Therapy in
the Next Millennium”
Sir Alfred Cuschieri, MD, ChM,
FRCS(Ed, Eng), FRCSI(Hon),
FRCPS (Glas)(Hon), FRSE
CA
Pit
Martin Memorial
Lecture
Established in 1946 to honor
Franklin H. Martin, MD, FACS,
founder of the College, and his
wife, Isabelle Hollister Martin.
Thursday, 3:15-3:55 pm
Moscone Center, Esplanade
Ballroom
“Health Technology Assess-
ment: The Way Forward for
Surgery”
Sir Miles Irving, DSC(Hon),
ChM, FMedSci, FRCS(Eng,
Ed, Glas, Can)
AWS conference examines leadership
The Association of Women Surgeons
(AWS) is holding its fall conference in
conjunction with the Clinical Congress.
The AWS functions will be held at the
San Francisco Marriott Hotel.
On Sunday, October 10, beginning at
8:00 am in Salon 4 of the Marriott, the
AWS will begin its conference with pre-
sentations by Mike Magee, MD, author
of Positive Leadership, and facilitator
JoAnne Blakely, manager of corporate
medical relations, Pfizer, Inc. The in-
teractive program will focus on devel-
oping a values-driven approach to
leadership that is built on 10 key prin-
ciples. Participants will examine ways
to enhance their leadership potential
and develop strategies to enrich their
lives and the lives of those with whom
they interact. The association’s annual
business meeting and luncheon will fol-
low at 12 noon in the Nob Hill Room of
the Marriott.
On Wednesday, October 13, begin-
ning with registration at 6:45 am, the
AWS will host its annual networking
breakfast, which is provided at no cost
to all members and nonmembers. The
event will take place in the Nob Hill
Room of the Marriott.
The association has also announced
plans for the AWS 2000 summer confer-
ence, Emerging Technologies, which
will be held July 13-15, 2000, at the Bea-
ver Creek Resort, Beaver Creek, CO.
While attending the Clinical Con-
gress, plan to stop by the AWS exhibit
booth #2336 at the Moscone Center.
Exhibit hours are from 9:30 am to 3:30
pm, Monday through Wednesday, and
from 9:30 am to 1:30 pm on Thursday.
Visitors may pick up information re-
garding AWS and the summer confer-
ence, learn more about the profession,
network with peers, and receive a com-
plimentary pass for the October 13 net-
working breakfast.
The Association of Women Surgeons
is headquartered at 414 Plaza Dr., Ste.
209, Westmont, IL 60559; tel. 630/655-
0392, fax 630/655-0391, e-mail
aws@adminsys.com.
Panel to consider
status of new technology
On Monday afternoon the ACS Com-
mittee on Emerging Surgical Technol-
ogy and Education will sponsor a panel
discussion to address New Technology:
What’s Proven, What’s Not. The ses-
sion will take place from 1:00 to 3:00 pm
in the Esplanade Ballroom at Moscone
Center. Jonathan L. Meakins, MD,
FACS, a Regent of the College, will
serve as moderator.
The session will examine issues re-
garding evidence-based surgery, new
surgical procedures, and new technol-
ogy. Topics of discussion will include
the management of solid organ injury,
mesorectal excision of the rectum,
stents and intravascular devices, pro-
phylaxis of deep venous thrombosis,
and liver resection for metastases.
4 The American College of Surgeons
October 10-11, 1999
Panel to consider Medicare in transition
he College’s Socioeconomic
Affairs Department will spon-
sor a panel discussion on
Monday afternoon to consider
Medicare in Transition: The Implica-
tions for Surgery. The session will run
from 1:00 to 3:00 pm in Room 131 of
Moscone Center.
Senior representatives of the Health
Care Financing Administration (HCFA)
and the Office of the Inspector General
(OIG) will provide an important update
on the Medicare program. Issues to be
addressed during the two-hour session
include Medicare’s managed care pro-
gram, physician reimbursement poli-
cies, and anti-fraud and abuse efforts. A
lively question and answer period is
anticipated.
HCFA will be
represented by
Robert Beren-
son, MD, FACP,
Director of
HCFA’s Cen-
ter for Health
Plans and Pro-
viders. The
center is the fo-
cal point for
payment policy
and opera-
tional issues related to physicians, hos-
pitals, other health care providers, and
managed care plans. Dr. Berenson, a
board-certified internist, previously
served on the Carter White House Do-
mestic Policy staff and also co-chaired
two working
groups as part
of the Clinton
White House
Task Force on
Health Care Re-
form.
The second
panelist will be
Larry J. Gold-
berg, JD, chief
of the OIG’s
Civil Recoveries
Branch. Mr. Goldberg is responsible
for coordinating OIG’s role in the inves-
tigation, audit, and resolution of health
care fraud and abuse cases, including
those arising under the False Claims
Act, the anti-kickback statute, and the
Mr. Goldberg
CESTE exhibit: See the future
of computerized surgical education
The ACS Committee on Emerging Sur-
gical Technology and Education
(CESTE) is sponsoring a premier sci-
entific exhibit titled The Next Genera-
tion of Computing for Surgical
Education. This exhibit will showcase
selected computer hardware and soft-
ware that are successful today or are
or the fut rgicaled
cation. Applications being demon-
strated will range from familiar
CD-ROM products to Internet sites to
tele-immersion.
What is tele-immersion? The term was
originally coined by researchers at the
University of Illinois at Chicago (UIC)
to refer to collaborative, networked, vir-
tual reality. Tele- immersion combines
teleconferencing and virtual reality to
allow people in different geographic lo-
cations to interact with the same stereo-
scopic perspective, converse, gesture,
and see each other. UIC is a leader in
tele-immersion and the originator of the
CAVE™ and ImmersaDesk™ display
systems—large-screen, back- projected,
stereoscopic displays that allow the com-
puter user to become “immersed” in
the demonstration. The CAVE is a 10-
foot cube one walks into with projection
on four walls while the ImmersaDesk is
Lit nt of tl e tech
nology with a six-by-four-foot tilted dis-
play.
The exhibit features applications that
were developed by the Virtual Reality in
Medicine Laboratory (VRMedLab) at
the UIC. The VRMedLab’s co-director,
Jonathan Silverstein, MD, a general sur-
geon and 1999 ACS Initiate, will be dem-
onstrating his NIH supported project,
“Biomedical Tele-Immersion for the
Next Generation Internet,” and related
work on the ImmersaDesk display. Bio-
medical tele-immersion is a network,
hardware, and software architecture
| RRR eS eS:
Practice management consultation
available this week
A Practice Management Consultation Booth is being sponsored this year by the
College’s Socioeconomic Affairs Department. Fellows with questions
concerning practice management issues such as coding and reimbursement,
group mergers, contract negotiations, and so on, are invited to visit the booth
to make an appointment for a free consultation. Conomikes Associates, Inc., a
highly regarded company in the field of practice management, will be providing
free consultations during the week of the Clinical Congress.
The booth will be located at Moscone Center in the concourse connecting
the North and South Halls. Fifteen-minute appointments will be available on a
first-come, first-served basis from 9:00 am to 4:30 pm, Sunday, October 10,
through Thursday, October 14.
Fellows can also stop by the booth to register for any of the College’s
practice management or coding workshops that are scheduled for 1999
through 2000.
that promises to permit
medical educators, re-
searchers, and clini-
cians at different sites
to share three-dimen-
sional information in a
collaborative, stereo-
scopic environment.
Thiet } ] prom-
ises to radically change
distributed surgical
education, research,
and ultimately clinical
visualization. As one
can transport a text-
book across the current
Internet, tele-immersion will create the
classroom on the next generation
Internet.
Russell Pearl, MD, FACS, acolorectal
surgeon and one of the VRMedLab col-
laborators, is pictured here demonstrat-
ing his three-dimensional pelvic floor
OIG’s exclusion authorities.
Also speaking will be Frank G. Opelka,
MD, FACS, a member of the College’s
General Surgery Coding and Reim-
bursement Committee and the College’s
representative to the Practice Expense
Advisory Committee. A colon and rec-
tal surgeon from the Ochsner Clinic in
New Orleans, LA, Dr. Opelka will pro-
vide a practicing surgeon’s perspective
on Medicare issues.
The session will be moderated by John
O. Gage, MD, FACS, a general surgeon
from Pensacola, FL. Dr. Gage is Chair
of the College’s General Surgery Cod-
ing and Reimbursement Committee and
the College’s representative to the
AMA/Specialty Society Relative Value
Update Committee.
model after it had been digitized by CT
scan and imported into the tele-
immersive environment.
The exhibit will run Monday through
Thursday, and will be located in the
Technology Pavilion in the South Hall
at Moscone Center.
Trauma curriculum for
medical students announced
The Subcommittee on ATLS® (Ad-
vanced Trauma Life Support) of the ACS
Committee on Trauma has announced
the release ofa trauma curriculum guide
for medical students. The TEAM
(Trauma Evaluation And Management)
Course introduces the concepts of
trauma assessment and management
to medical students during their clini-
cal years. The slide/lecture presenta-
tion can be easily adapted into the
medical school’s curriculum. The for-
mat is flexible, with a 90-minute slide
presentation and optional components
that include a three-segment initial as-
sessment video demonstration and two
clinical trauma case scenarios for small-
group, focused discussion and skills
sessions. The Committee on Trauma
and the ATLS Subcommittee believe
that the TEAM course should satisfy
the need for a standardized introduc-
tory course in the evaluation and man-
agement of trauma that can be taught to
all medical students.
Attendees are invited to stop by the
ATLS exhibit located in the ACS Re-
source Center at Moscone Center for
further information regarding the
TEAM Course.
The American College of Surgeons
October 10-11, 1999 5
Liability issues to be addressed
ith major changes occur-
ring in health care, it is
important for physicians
to become aware of new
areas of physician liability brought about
by business/ professional arrangements
being made with a wide variety of health
care organizations. The ACS Regental
Committee on Professional Liability is
sponsoring two sessions this week to
address current liability issues: Post-
graduate (PG) Course No. 2— Profes-
sional Liability and Risk Management
in a Changing Health Care Environ-
ment, and the panel discussion, The
Surgeon and the Law.
PG No. 2, Professional Liability and
Risk Managementin a Changing Health
Care Environment, will be held on Sun-
day, October 10, from 1:00 to 5:00 pm, at
the Hilton San Francisco and Towers,
Imperial Ballroom A. The co-chairs for
the course are Barry M. Manuel, MD,
FACS, Boston, MA, and Donald
Palmisano, MD, JD, FACS, Metairie,
LA.
The objective of the course is to iden-
tify new areas of physician liability, such
as contract liability, vicarious liability,
the expanded “duty of care” created by
a managed care company contract, de-
lay of care and denial of care liability,
peer review liability, antitrust liability,
and telemedicine liability, as well as
traditional high-risk areas of surgical
practice. Methods available to deal with
these risks will be discussed, including
the systems approach to error preven-
tion. Practical advice will be given on
how to avoid a lawsuit, how to proceed
Dr. Manuel
when one is sued, and how to protect
one’s mental health during this pro-
cess. Upon completion, participants
will have learned to identify new areas
of physician liability as well as tradi-
tional high-risk areas of surgical prac-
tice. Risk management and prevention
will be emphasized. Participants will
also gain an understanding of the legal
process and its psychological impact on
the physician, of the deposition, and of
courtroom strategies.
The Surgeon and the Law panel dis-
cussion will take place on Tuesday,
October 12, from 8:00 to 10:00 am, in
Moscone Center, Room 104. Bruce L.
Allen, MD, FACS, San Mateo, CA, will
serve as moderator for the panel dis-
cussion.
Trauma handbook from
Scientific American Surgery debuts
Scientific American Surgery (SAS), the
surgical textbook published by Scien-
tific American Medicine under the ae-
gis of the American College Surgeons,
has now generated a smaller, special-
ized work designed specifically for on-
the-spot use by surgeons who care for
injured patients. The handbook, Scien-
tific American Surgery Hand-
book of Trauma, is edited by F.
William Blaisdell, MD, FACS,
a longtime contributor to SAS,
and James W. Holcroft, MD,
FACS, a founding member of
the SAS Editorial Board.
Recognizing the impractical-
ity of consulting bulky text-
books in the high-pressure
working situations character-
istic of trauma, Drs. Blaisdell and
Holcroft have adopted (and adapted)
the general algorithm-based approach
used in SAS to create a concise refer-
ence tool that can easily be carried in a
labcoat pocket or held open in one hand.
Specifically intended for easy use by
surgeons on the “front lines” of trauma
care—interns, residents, and trauma
center attending surgeons—the hand-
book dispenses with extensive discus-
sions. Nevertheless, it contains valu-
able management recommendations on
a substantial number of key trauma top-
ics: resuscitation, emergency depart-
ment evaluation of multiple injuries,
central nervous system trauma, head
and neck injuries, thoracic and abdomi-
nal trauma, injuries to the ex-
tremities, and wound closure.
The handbook’s physical
design allows for quick access
for the user. Every left-hand
page contains a SAS-style al-
gorithm outlining the general
approach to be taken for a spe-
cific problem, while the facing
right-hand page contains ex-
planatory text that fleshes out
the algorithm, adding detail and nu-
ance. In addition, the handbook is spi-
ral-bound for maximum flexibility, and
the pages are laminated for durability.
Although SAS’s recent expansion
phase is now complete, new chapters
on new topics continue to be commis-
sioned, and chapters continue to be re-
worked, expanded, or consolidated as
necessary. Highlights of 1999 include
6 The American College of Surgeons
Dr. Palmisano
Dennis S. O’Leary, MD, president,
Joint Commission on Accreditation of
Healthcare Organizations (JCAHO),
will speak on “Does Reporting of a Sen-
tinel Event Affect the Risk of a Malprac-
tice Claim?” James G. Sheehan, chief of
the civil division of the U.S. Attorney’s
Office in Philadelphia, PA, will speak on
“Searching for Fraud in Medicine: Ten
Ways (or More) a Surgeon Can Meet
the Prosecutor/Inspector General.”
The panel discussion is designed to
keep Fellows abreast of current legal
issues that are most likely to affect the
practice of surgery. This year the panel
will focus on the issues of sentinel event
reporting and fraud and abuse. The
federal government is dedicating new
resources in its campaign to detect
the following:
1. Completion of the
top-to-bottom revision of
the Trauma section.
2.Addition of two new
chapters to the Surgical
Techniques section: Ap-
pendectomy, by Hung S.
Ho, MD, and Ultra-
sonography: Surgical
Applications, by Grace
S. Rozycki, MD, FACS. Additional new
technique chapters are planned for 2000.
3. Addition of one new chapter to the
Evaluation of Common Clinical Prob-
lems section: Abdominal Pain, by
Romano Delcore, MD,FACS, and
Laurence Y. Cheung, MD, FACS.
4.Addition of six video clips to the
CD-ROM version of Laparoscopic
Cholecystectomy, by Gerald M. Fried,
MD, FACS, and Liane S. Feldman, MD.
The fall 1999 update of SAS features
the following chapters: Breast Disease,
by Barbara L. Smith, MD, PhD, and
Wiley W. Souba, MD, ScD, FACS; Obe-
sity, by Harvey J. Sugerman, MD, FACS;
Clinical and Laboratory Diagnosis of
Infection, by David C. Evans, MD, and
October 10-11, 1999
Dr. Allen
fraudulent Medicare billing, particularly
physician billing. Learn from the U.S.
Attorney’s top prosecutor, Mr. Sheehan,
the extent of these investigations, the
billing patterns likely to trigger them,
and the severe penalties that can be
assessed.
Find out about how a compliance pro-
gram may be helpful. The JCAHO is
developing its program of sentinel event
reporting in an effort to decrease major
errors in surgery, such as wrong-sided
surgery. Dr. O’Leary will discuss how
hospitals are complying with these new
regulations and whether or not their
compliance will violate the confidential-
ity of peer review.
Jonathan L. Meakins,
MD, DSc, FACS; and
Miscellaneous Thermal
Injuries, by Robert H.
Demling, MD, FACS.
The winter 2000 up-
date will feature the fol-
lowing chapters: Use of
the Mechanical Venti-
lator, by Robert H.
Bartlett, MD, FACS;
Acute Abdominal Pain, by Romano
Delcore, MD, FACS, and Laurence Y.
Cheung, MD, FACS; The Pediatric Sur-
gical Patient, by Arnold G. Coran, MD,
FACS; Burn Care in the Immediate Re-
suscitation Period, by Robert H.
Demling, MD, FACS; and Burn Care in
the Early Postresuscitation Period, by
Robert H. Demling, MD, FACS.
For additional information, visit booth
2416 in the technical exhibit area, where
both printed and electronic versions of
SAS as well as the new Handbook of
Trauma are on display, or contact Sci-
entific American Medicine at 415 Madi-
son Ave., New York, NY 10017-1111;
tel. 800/545-0554, fax 212/980-3062.
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ACS Booth #713
ACOSOG helps to set standards of care
According to the National Cancer Insti-
tute (NCI), many of today’s most effec-
tive interventions are the direct result
of knowledge gained through previous
clinical trials. The American College of
Surgeons Oncology Group (ACOSOG)
has been funded by the NCI to enter
eligible patients in cancer clinical trials.
The data collected by these clinical tri-
als are crucial to the NCI to establish
new treatment guidelines that are de-
signed to improve the survival of pa-
tients with malignant solid tumors.
Attendees at the Clinical Congress
can become members of ACOSOG and
help set future standards of care.
Eligibility requirements follow:
e Surgeons who are either:
(a) Fellows of the American College of
Surgeons, (b) members of the Ameri-
can College of Surgeons Candidate
Group, (c) board certified in their sur-
gical specialty or hold equivalent certi-
fication in a foreign country, or (d) not
yet board certified but planning to
Dr. Walt remembered
The College’s 75" President, Alexander
J. Walt, MD, FACS (1923-1996), inter-
nationally renowned as a surgeon, edu-
cator, and humanitarian, has been
remembered in Alexander J. Walt: Re-
flections. The book’s editors, Scott A.
Dulchavsky, MD, FACS, and Seymour
I. Schwartz, MD, FACS, have compiled
30 of Dr. Walt’s writings on such topics
as graduate medical education, the
uniqueness of American surgical edu-
cation, surgical humanism, and the fu-
ture of surgery. Each of the papers in
the 304-page book includes a commen-
tary by a learned American surgeon.
Dr. Walt believed that “a cultured
surgeon is a better surgeon,” and this
belief is evidenced in his presentations
at many ACS meetings and in his lec-
achieve certification and are within five
years of having completed an accred-
ited specialty residency or fellowship.
e Physicians and scientists in non-
surgical specialties may apply inde-
pendently or through their relationship
with an ACOSOG surgeon.
e Allied health professionals and
patient advocates may apply with the
sponsorship of an ACOSOG physician
member.
To participate in ACOSOG studies,
members must meet minimum technol-
ogy requirements related to computers
and fax machines. Most clinical sites
easily meet the requirements.
Please check the ACOSOG Web site
at http://www.acosog.org or call the
administrative office at 312/202-5400
for more information on membership
and to obtain the technology require-
ment checklist.
During the Clinical Congress, please
stop by the ACOSOG information booth,
located in Moscone Center, concourse
tures to residents. Always delivered with
humor, wit, and graceful prose, Dr.
Walt’s extant writings are valuable for
today’s surgeons and students.
In prefatory material, editor Scott
Dulchavsky states: “The selected pa-
pers that form the basis of this book
evoke keen recollection of (Dr. Walt’s)
humor, wit, and personal challenges.
The accompanying commentaries pro-
vide reference to the broad applicabil-
ity and timelessness of Dr. Walt’s
foresight for graduate medical educa-
tion and surgery.”
Co-editor Seymour Schwartz adds that
“... with unfailing integrity, uncompro-
mising commitment, and an infectious
passion, Alex Walt loomed and will con-
tinue to loom as a conscience for the
CD-ROM on medical
radiation physics available
The American College of Surgeons
(ACS) and the American College of
Radiology have agreed that surgeons
who independently perform stereotac-
tic breast biopsy must fulfill certain re-
quirements to use this technique safely
and effectively. One of the requirements
is that the surgeon must have four hours
of Category 1 CME in medical radiation
physics.
In an effort to help surgeons fulfill
this requirement, the ACS has produced
a CD-ROM in collaboration with Robert
J. Pizzutiello Jr., MS, FACMP, to ac-
company the College’s Postgraduate
Course No. 1, Image-Guided Breast
Biopsy. The CD-ROM contains four
hours of lecture and slides and an ac-
companying test. When scored by the
American College of Surgeons, success-
ful completion of the test will lead to the
award of four hours of Category 1 CME
in medical radiation physics. The CD-
ROM coincides with the ACS Statement
ST-29, “Physician Qualifications for Ste-
reotactic Breast Biopsy: A Revised State-
ment.”
The CD-ROM may be installed to run
on either a Windows or Macintosh plat-
form (Windows Operating system 3.11
or higher; Macintosh system 7.1 or
higher with QuickTime extensions).
The CD-ROM is $100 and may be
purchased during the Clinical Congress
at the Publications booth, located on
the concourse level of Moscone Center.
8 The American College of Surgeons
October 10-11, 1999
level. Meg Mooney, MD, ACOSOG
Medical Officer, will be on hand to an-
swer any questions you may have con-
cerning ACOSOG membership.
Open ACOSOG clinical trials
Breast Cancer
Z0010: A prognostic study of sentinel node
and bone marrow micrometastases in women
with clinical T1 or T2 NO MO breast cancer.
Z0011: A randomized trial of axillary node
dissection in women with clinical T1 or T2 NO
MO breast cancer who have a positive sentinel
node.
Colon Cancer (intergroup study)
ECOG 1292: A phase III intergroup pro-
spectively randomized trial of perioperative 5-
FU after curative resection, followed by 5-FU/
Leucovorin for patients with colon cancer.
Genitourinary Cancer
(intergroup study)
EORTC 30904: A prospective randomized
phase III study comparing radical surgery to
surgical community,
and he will continue to
serve as a guide to
those of us who walked
behind and along side
him.”
Dr. Dulchavsky is an
associate professor at
Wayne State Univer-
sity, and chief of sur-
gery at Detroit (MI)
Receiving Hospital. Dr.
Schwartz is Distin-
guished Alumni Profes-
sor, University of
Rochester (NY) School
of Medicine and Den-
tistry. He is also Editor-in-Chief of the
Journal of the American College of Sur-
Dr. Walt
elective kidney sparing surgery for low stage
renal cell carcinoma: an intergroup study.
Melanoma
Z0020: Randomized phase III trial of hyper-
thermic isolated limb perfusion and melphalan
with or without tumor necrosis factor in the
patient with localized, advanced, extremity
melanoma.
Lung Cancer
Z0030: Randomized trial of mediastinal
lymph node sampling versus complete lym-
phadenectomy during pulmonary resection
in the patient with NO or N1 (less than hilar)
non-small cell carcinoma.
Z0040: A prospective study of the prognostic
significance of occult metastases in the patient
with resectable non-small cell lung carcinoma.
geons and the 78th Presi-
dent of the American
College of Surgeons.
Alexander J. Walt: Re-
flections is available for
$29.95 per copy from
Wayne State University
Press, Leonard N.
Simons Bldg., 4809
Woodward Ave., De-
troit, MI 48201-1309; tel.
313/577-4603, fax 313/
577-6131.
Copies of the book may
be viewed in the Com-
munications section of
the ACS Resource Cen-
ter, located in the technical exhibit area
(booth 1017) of Moscone Center.
oo RE AS or ES E
This week in the Clinical Congress News
Make sure to pick up your daily issue of the Clinical Congress News (CCN)
throughout this convention week. The Tuesday through Friday issues will
include:
° Summaries of the Opening Ceremony Lecture and other named lectures
° Announcement of the Surgical Forum dedicatee
° Preliminary Spring Meeting (Washington, DC) program information
e Announcement of Honorary Fellows and Distinguished Service
Award recipient
e Excerpts from Dr. James Thompson’s Presidential Address
° Announcement of new ACS Officers
The CCN is available each morning throughout Moscone Center and at major
hotels. If you wish to obtain additional copies of any issue this week, please
stop by or contact the CCN office in Moscone Center, North Hall; tel. 978-
3523.
Your’re at the last Congress of the century!
he 1999 Clinical Congress is
the last official event the
American College of Sur-
geons (ACS) will host for its
Fellows in the 20" century. As such,
this is a good time to reflect on and
reacquaint yourself with the missions
and accomplishments of the College.
Founded in 1913, the ACS can claim
almost the entire century as part of its
history.
The College was organized for the
primary purpose of improving the qual-
ity of care of patients by elevating the
standards of surgical education and
practice. For more than 85 years, the
College has served as the surgeon’s
voice in numerous arenas affecting the
practice of surgery, such as the govern-
ment, the public, and other medical or-
ganizations, to name a few.
Brief history
The founder of the ACS was Dr.
Franklin H. Martin, Chicago, IL, who,
in 1905 founded the ue SURGERY,
Gynecology &
Obstetrics (to-
day, the Jour-
nal of the
American Col-
lege of Sur-
geons). In 1910,
Dr. Martin of-
fered journal
subscribers
the opportu-
good surgical
techniques
firsthand by in-
viting them to
visit operative clinics in Chicago.
This meeting was such a success that
the 1,300 physicians in attendance de-
cided to form an organization under
whose auspices this gathering would
become an annual event. This organiza-
tion was The Clinical Congress of Sur-
geons of North America.
By the time a third Clinical Congress
was held in 1912, Dr. Martin had pro-
posed that an organization be estab-
lished to plan a program for the meeting
and to set standards for admission. All
2,600 attendees at this meeting voted to
approve the formation of the new soci-
ety, which became the American Col-
lege of Surgeons.
When the College received its char-
ter, the stated objective read:
...to establish and maintain an associa-
tion, not for pecuniary profit, but for the
benefit of humanity by advancing the
science of surgery and the ethical and
competent practice of its art, by establish-
ing standards of hospital. construction,
administration, and equipment, and all
else that pertains to them; by engaging in
scientific research to determine the cause,
nature, and cure of disease; by aiding in
better instruction of doctors; by formulat-
ing standards of medicine and methods
for the improvement ofall adverse condi-
tions surrounding the ill and injured
wherever found.
Franklin H. Martin
Training
When the ACS was founded early this
century, most surgeons received train-
ing under a preceptor or were self-
trained through postgraduate courses.
One of the College’s first missions was
to determine how the formal surgical
training of medical students could be
improved.
After an exhaustive survey of hospital
training programs, the ACS published
minimum hospital standards for train-
ing programs and gradually developed
criteria that today form the basis for the
fundamental requirements for gradu-
ate education in surgery.
The College has served as a sponsor-
ing organization for the Residency Re-
view Committees for Colon and Rectal
Surgery, Neurological Surgery, Otorhi-
nolaryngology, Plastic Surgery, Sur-
gery, Thoracic Surgery, and Urology.
Today, the College supports post-
graduate education through its program
and emerging technology committees,
its scholarships programs, and other
activities such as the Surgical Forum,
the Surgical Education and Self-Assess-
ment Program, and the film library.
Cancer and trauma care
In 1913, the College was the first pro-
fessional organization to initiate the pub-
lication of an article about cancer in a
consumer magazine, The Ladies’ Home
Journal. Today, the College continues
to be the vanguard of cancer care
URN ILS State-Ol- tne-ari é ducational
courses avae to surgeons and
through the activities of its Commis-
sion on Cancer (established in 1922).
The commission consists of over 100
members representing the ACS and 37
national organizations, and its activities
include a program to approve cancer
care programs atthe local hospital level,
data collection for all cancer sites, and
numerous educational activities.
In March 1998, the
American College of
Surgeons Oncology
Group (ACOSOG) re-
ceived funding from
the National Cancer
Institute to conduct
multicenter coopera-
tive group trials in sur-
gical oncology—this is
the first new coopera-
tive group sponsored
by the NCI in 18 years,
and itis the only one to
focus primarily on the
surgical management
of malignant solid tu-
mors.
Another major sur-
gical arena is trauma
care, and since the
1922 establishment of
a Committee on Frac-
tures, the ACS has
been a strong voice in
support of improving
care of the injured pa-
tient. Today, the ACS
Committee on Trauma is responsible
for the Advanced Trauma Life Support®
Course, Resources for Optimal Care of
the Injured Patient, a verification pro-
gram (begun in 1987 for local trauma
centers), and the National Trauma Data
Bank™.,
Hospital standards
Back in 1913, a mandatory require-
ment for Fellowship was the submis-
sion of 100 case records of patients upon
whom the applicant had operated. Yet,
at that time, hospitals in the U.S. and
Canada seldom kept accurate records
and the staffs themselves were not of-
ten well organized.
After conferring with the American
Medical Association and the Catholic
Hospital Association, the ACS formu-
lated a hospital standardization program
that has influenced hospital care to this
day.
The program was begun in 1918, and
by 1951, had become so inclusive that
the ACS sought a means to broaden the
base for of support for the financing of
the program—the Joint Commission on
Accreditation of Hospitals was thus
formed in 1952, and had five founding
sponsors.
Today, the Joint Commission sur-
veys and accredits other programs in
addition to hospitals, including ambula-
tory health care, behavioral health care,
home care, long-term care, and health
care networks.
Keeping current
Through the efforts of its various de-
partments and committees, the College
keeps abreast of the issues and trends
that are having an impact on surgical
care and that require an effective voice
in respresenting surgery in these chang-
ing times, in areas such as socio-
economics and legislative affairs, pro-
aes
š liag
The Great Mace. A gift from British sur-
geons to the College in 1920, the mace is
displayed each year during Convocation
ceremonies.
fessional liability, and public informa-
tion, to cite a few.
Through its national meetings and
local and international chapters, the
College offers each Fellow the opportu-
nity to directly participate in its affairs
and help shape the future of the College
and of surgery for the 21* century.
To learn more about the purpose and
evolution of the College, stop by the
ACS Resource Center, located in the
technical exhibit area (booth 1017) of
Moscone Center, and pick up a copy of
the Publications and Services catalog.
Among the many publications available
to assist and inform you are two books
about the history of the ACS: Fellowship
of Surgeons by Loyal Davis, MD, FACS,
and American College of Surgeons at 75
by George W. Stephenson, MD, FACS.
roei
Laina RT he ANS ite all oaa <- jat
su avu“
Installation of officers, 1949 Clinical Congress, Chicago, IL.
The American College of Surgeons
October 10-11, 1999 9
Allied Meetings
Sunday
Morning
Association of Women Surgeons
6:00 am - 4:00 pm. Meeting
San Francisco Marriott, Salon 4, Lower B-2
Impact Communications for Pfizer
6:00 am - 11:00 am. Meeting
Westin St. Francis, Grand Ballroom, Mezzanine
University of Michigan/Wyeth Ayerst
6:30 am - 7:30 am. Breakfast
San Francisco Marriott, Salon 7, Lower B-2
Association of Program Directors in
Vascular Surgery
7:00 am - 4:00 pm. Meeting
Renaissance Parc 55, Parc Ill, Floor Four
Surgical Biology Club II
7:30 am - 8:30 am. Breakfast
Hilton San Francisco and Towers , Franciscan C,
Ballroom Level, Bldgs 1, 2, 3
University of Michigan/Wyeth Ayerst
7:30 am - 10:00 am. Meeting
San Francisco Marriott, Salon 8, Lower B-2
The Compass Group for Ethicon, Inc.
8:00 am - 10:00 am. Breakfast
Hilton San Francisco and Towers Towers,
Continental 6, Ballroom Level, Bldgs 1,2,3
Cortex Communications for Bayer Corporation
8:00 am - 11:30 am. Meeting
San Francisco Marriott, Salon 9, Lower B-2
Baxter, Hyland Immuno
8:00 am - 12:00 pm. Meeting
Hilton San Francisco and Towers, Grand Salon A,
Grand Ballroom, Building 2
Virginia Commonwealth University /Medical
College of Virginia/Ortho McNeil Pharmaceuticals
8:00 am - 12:00 pm. Meeting
Westin St. Francis, California West, Floor 2
Surgical Biology Club |
8:00 am - 2:00 pm. Meeting
Hilton San Francisco and Towers, Yosemite C,
Ballroom Level, Bidgs 1,2,3
Integrated Communications Corp. for Novartis
Pharmaceutical Corp.
8:30 am - 11:30 am. Meeting
Moscone Center, Room 132, Exhibit Level
Surgical Biology Club II
8:30 am - 4:30 pm. Meeting
Hilton San Francisco and Towers, Franciscan B,
Ballroom Level, Bldgs 1,2,3
Surgical Biology Club III
8:30 am - 5:00 pm. Meeting
Hilton San Francisco and Towers, Continental 8,
Ballroom Level, Bldgs 1,2,3
Trigenesis Comunications for AstraZeneca
9:00 am - 11:00 am. Meeting
Fairmont Hotel, Grand Ballroom, Ballroom Level
Association of Women Surgeons
11:30 am - 2:00 pm. Luncheon
San Francisco Marriott, Salon 1, Lower B-2
Afternoon
Surgical Biology Club II
12:00 pm - 1:00 pm. Luncheon
Hilton San Francisco and Towers, Franciscan C,
Ballroom Level, Bldgs 1,2,3
Association of VA Surgeons, Executive Committee
12:30 pm - 3:00 pm. Luncheon
San Francisco Marriott, Nob Hill A, Lower B-2
American Hernia Society
1:00 pm - 3:30 pm. Meeting
Hilton San Francisco and Towers, Union Square 8,
Floor Four, Bldg 3
Surgical Infection Society
1:00 pm - 6:00 pm. Meeting
Hilton San Francisco and Towers Towers,
Continental 7, Ballroom Level, Bldgs 1,2,3
Association of VA Surgeons
3:00 pm - 5:00 pm. Meeting
San Francisco Marriott, Nob Hill B, Lower B-2
Evening
Association of VA Surgeons
5:00 pm - 7:00 pm. Reception
San Francisco Marriott, Nob Hill A, Lower B-2
10 The American College of Surgeons
American Society for Bariatric Surgery
5:00 pm - 10:00 pm. Dinner
Westin St. Francis, Victorian, Floor 2
Parkland Surgical Society, ACS North Texas
Chapter and Department of Surgery,
UT Southwestern Medical Center
5:30 pm - 7:30 pm. Reception
Hilton San Francisco and Towers, Vista, Floor 45
North American Chapter of the Royal College
of Surgeons in Ireland
6:00 pm - 8:00 pm. Reception
San Francisco Marriott, Pacific E, Floor Four
Cook County Hospital Surgical Alumni
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Franciscan D,
Ballroom Level, Bldgs 1,2,3
Minnesota Chapter, ACS
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Union Square 2,
Floor Four, Building 3
Andrew G. Morrow Society
6:30 pm - 11:00 pm. Reception/Dinner
Fairmont Hotel, Garden, Lobby
Monday
Morning
General Surgery News
7:00 am - 9:00 am. Breakfast
Moscone Center, Room 214, Mezzanine Level
Association for Surgical Education - Testing and
Evaluation Committee
7:00 am - 9:00 am. Breakfast
Hilton San Francisco and Towers, Franciscan A,
Ballroom Level, Bldgs 1,2,3
The Spleen Club
7:30 am - 9:00 am. Breakfast
Hilton San Francisco and Towers Continental 3,
Ballroom Level, Bldgs 1,2,3
Journal of Laparoendoscopic & Advanced
Surgical Techniques
7:30 am - 9:00 am. Breakfast Meeting
Hilton San Francisco and Towers Continental 9,
Ballroom Level, Bldgs 1,2,3
Association of Pediatric Surgery Training
Program Directors
9:00 am - 11:00 am. Breakfast
Fairmont Hotel , Fountain, Lobby
Journal of Surgical Oncology
11:30 am - 1:30 pm. Luncheon
Hilton San Francisco and Towers, Yosemite B,
Ballroom Level, Bldgs 1,2,3
Afternoon
International Federation of Societies of Endoscopic
Surgeons (IFSES)
1:00 pm - 4:00 pm. Meeting
San Francisco Marriott, Pacific H, Floor Four
Evening
J. Bradley Aust Surgical Society
5:00 pm - 8:00 pm. Reception
Huntington Hotel, Tobin Room, Lobby
Walter F. Pizzi Surgical Society
5:00 pm - 7:00 pm. Reception
Hilton San Francisco and Towers, Union Square 2,
Floor Four, Building 3
Baystate Medical Center
5:00 pm - 7:30 pm. Reception
Hilton San Francisco and Towers, Union Square 6,
Floor Four, Building 3
Beaumont Surgical Alumni
5:30 pm - 7:30 pm. Reception
San Francisco Marriott, Pacific E, Floor Four
University of California, San Francisco,
Department of Surgery
5:30 pm - 7:30 pm. Reception
San Francisco Marriott, Salon 14, Lower B-2
Alton Ochsner Medical
5:30 pm - 7:30 pm. Reception
Hilton San Francisco and Towers, Union Square 5,
Floor Foundation Four, Building 3
ESC Medical Systems
5:30 pm - 8:00 pm. Reception
Hilton San Francisco and Towers Continental 4,
Ballroom Level, Bldgs 1,2,3
Departments of Surgery at the University of Florida,
the University of South Florida and the
University of Miami, Florida Chapter and
South Forida Chapter, ACS
6:00 pm - 7:30 pm. Reception
Hilton San Francisco and Towers Continental 7,
Ballroom Level, Bldgs 1,2,3
October 10-11, 1999
Kansas Chapter, American College of Surgeons &
KU Medical School- Kansas City & Wichita
Campuses
6:00 pm - 7:30 pm. Reception
Renaissance Parc 55, Raphael,Floor Four
University of Pennsylvania School of Medicine
6:00 pm - 8:00 pm. Reception
Fairmont Hotel , Garden, Lobby
UCLA Department of Surgery, the UCLA School of
Medicine Department of Surgery and the William P.
Longmire Surgical Society
6:00 pm - 8:00 pm. Reception
San Francisco Marriott, Salon 12, Lower B-2
Wright State University Department of Surgery
6:00 pm - 8:00 pm. Reception
Westin St. Francis, Elizabethan A, Floor 2
Massachusetts General Hospital Department of
Surgery and Brigham Women’s Hospital
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers Towers,
Continental 5 & 6, Ballroom Level, Bldgs 1,2,3
University of Pittsburgh Department of Surgery
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers Continental 1,
Ballroom Level, Bldgs 1,2,3
Temple University Medical Alumni Association
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Yosemite A,
Ballroom Level, Bldgs 1,2,3
TTUHSC Department of Surgery Alumni
Organization
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Union Square 12,
Floor Four, Building 3
Arkansas Chapter, American College of Surgeons
6:00 pm - 8:00 pm. Reception
Renaissance Parc 55, Dante, Floor Four
Hershey Surgical Society
6:00 pm - 8:00 pm. Reception
Renaissance Parc 55, Sienna, Floor Three
Brown University School of Medicine
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Rosewood,
Lower Level, Building 1
University of Tennessee Medical Center/Knoxville
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Union Square 14,
Floor Four, Building 3
Cornell University Medical Center
6:00 pm - 8:00 pm. Reception
Westin St. Francis, Elizabethan B, Floor 2
University of Alabama Alumni
6:00 pm - 8:00 pm. Reception
Fairmont Hotel , Empire, Lobby
SUNY-HSCP Department of Surgery/Alumni
Association/Clarence Dennis Society
6:00 pm - 8:00 pm. Reception
Renaissance Parc 55, Barcelona |, Floor Three
Medical Alumni Association of University of
Maryland
6:00 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Union Square 13,
Floor Four, Building 3
Yale Surgical Society and Yale-New Haven Hospital
Department of Surgery
6:00 pm - 8:00 pm. Reception
San Francisco Marriott, Salon 10, Lower B-2
Guthrie Healthcare System/Robert Packer
Hospital, General Residency Program,
Donald Guthrie Society
6:00 pm - 8:00 pm. Reception
Hyatt Regency San Francisco, Garden
University of Wisconsin Department of Surgery
6:00 pm - 8:30 pm. Reception
Hilton San Francisco and Towers, Franciscan D,
Ballroom Level, Bldgs 1,2,3
University of Kentucky, Department of Surgery
6:00 pm - 9:00 pm. Reception
Hilton San Francisco and Towers, Union Square 8,
Floor Four, Building 3
Dartmouth Hitchcock Medical Center,
Department of Surgery
6:00 pm - 9:00 pm. Dinner
Fairmont Hotel, Hunt, Mezzanine
Marshal J. Orloff Society
6:00 pm - 10:00 pm. Dinner
Sutter Mansion, 1409 Sutter
Saint Louis University Alumni
6:30 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Franciscan C,
Ballroom Level, Bldgs 1,2,3
Albert Einstein College of Medicine
6:30 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Union Square 4,
Floor Four, Building 3
Creighton University
6:30 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Union Square 10,
Floor Four, Building 3
Camishon Surgical Society
6:30 pm - 8:00 pm. Reception
Hilton San Francisco and Towers, Union Square 11,
Floor Four, Building 3
University of Texas Houston Medical School/MD
Anderson Cancer Center
6:30 pm - 8:00 pm. Reception
Hilton San Francisco and Towers,
Union Square 15-16, Floor Four, Building 3
The Johns Hopkins University School of Medicine,
Department of Surgery
6:30 pm - 8:30 pm. Reception
Fairmont Hotel, Fountain, Floor Lobby
Emory University Department of Surgery &
School of Medicine
6:30 pm - 8:30 pm. Reception
Hilton San Francisco and Towers, Yosemite B,
Ballroom Level, Bldgs 1,2,3
UTMB - Singleton Surgical Society
6:30 pm - 8:30 pm. Reception
Hilton San Francisco and Towers, Continental 2,
Ballroom Level, Bldgs 1,2,3
University of Hawaii Surgical Residency Program
6:30 pm - 8:30 pm. Reception
Westin St. Francis, California East, Floor 2
Illinois Chapter, American College of Surgeons
6:30 pm - 8:30 pm. Reception
San Francisco Marriott, Pacific A, Floor Four
Warren H. Cole Society, Alumni Association
of the Department of Surgery, University of Illinois
at Chicago
6:30 pm - 10:00 pm. Reception/Dinner
Bank of America Bldg, Carnelian Room, Floor 55
John E. Connolly Surgical Society
6:30 pm - 9:00 pm. Reception/Dinner
Fairmont Hotel, California, Floor Mezzanine
Society of Loma Linda University Surgeons
6:30 pm - 9:30 pm. Dinner
Renaissance Parc 55, Aragon, Floor Third
National Medical Association Surgical Section
7:00 ț 9:00 pm. Reception
Hilton San Francisco and Towers, Continental 3,
Ballroom Level, Bidgs 1,2,3
Pediatric Surgery Biology Club
8:00 pm - 10:00 pm. Dinner
Hilton San Francisco and Towers, Union Square 25,
Floor Four, Building 3
Tuesday
Morning
ISDS (Formerly CICD)
6:30 am - 8:00 am. Breakfast
Hilton San Francisco and Towers, Continental 8,
Ballroom Level, Bldgs 1,2,3
American Society of Colon and Rectal Surgeons -
Socioeconomic Committee
7:00 am - 8:00 am. Breakfast
Hilton San Francisco and Towers, Executive Bd Rm,
Ballroom Level, Bldgs 1,2,3
Indiana Chapter, ACS
7:00 am - 9:00 am. Breakfast
Hilton San Francisco and Towers, Franciscan B,
Ballroom Level, Bldgs 1,2,3
Surgical Journal Editors
7:00 am - 9:00 am. Breakfast
Hilton San Francisco and Towers, Franciscan C,
Ballroom Level, Bldgs 1,2,3
American Society of Colon and Rectal Surgeons -
Standards Committee
8:00 am - 10:30 am. Breakfast
Hilton San Francisco and Towers, Union Square 8,
Floor Four, Building 3
Ohio Chapter, American College of Surgeons
11:30 am - 1:30 pm. Luncheon
San Francisco Marriott, Salon 12, Lower B2
The Mont Reid Surgical Society
of The University of Cincinnati
11:30 am - 2:00 pm. Luncheon
Hilton San Francisco and Towers, Continental 3,
Ballroom Level, Bldgs 1,2,3
Program Changes
Monday, October 11
Panel Discussion: How to Avoid
and Treat Painful Peripheral Nerve
Injuries and Neuromas-Implications
for the Practicing Surgeon, 10:30 am-
12 noon: “Pharmacologic Treatment of
Painful Peripheral Nerve Injuries and
Neuromas,” by Michael Rowbotham,
MD, San Francisco, CA (speaker
added);
“Neuroablative Techniques in the
Treatment of Nerve Injury Pain,” Nicho-
las M. Barbaro, MD, FACS, San Fran-
cisco, CA (title change).
Multidisciplinary Program: Current
U of MI Med School
Controversies in the Management
of the Mandible in Head and Neck
Reconstructive Surgery, 1:00-3:00 pm,
“Temporomandibular Joint Reconstruc-
tion: Options, Technique, and Out-
comes,” by Mark K. Wax, MD, FACS,
Portland, OR (addition to program).
“Representatives Cases” (addition to
program); “Discussion” (addition to pro-
gram).
Tuesday, October 12
Panel Discussion: What’s New in
the Treatment of Short Bowel Syn-
drome, 8:30-10:00 am, “Intestinal Trans-
plantation,” by Jorge D. Reyes, MD,
FACS, Pittsburgh, PA (title change).
Motion Picture Sessions
Monday, October 11
Reception to honor
150th anniversary
A reception has been planned for Tues-
day evening to honor the 150th anniver-
sary of the University of Michigan
Medical School and its department of
surgery. The reception will take place
from 6:00 to 8:00 pm in the Carnelian
Room at the Bank of America Tower,
555 California Dr., San Francisco.
Lazar J. Greenfield, MD, FACS,
Fredrick Coller Distinguished Professor
of Surgery and chairman of the depart-
ment of surgery, will host the reception
and make some formal remarks at 7:00
pm. Special videotapes will be shown
recognizing the sesquicentennial of the
founding of both the medical school and
the department of surgery.
All University of Michigan Medical
School graduates and department of sur-
gery alumni who are attending the Clini-
cal Congress are encouraged to join in
the celebration of these two milestones.
ATLS international meeting held
The ATLS® Subcommittee of the Com-
mittee on Trauma of the American Col-
lege of Surgeons hosted the Fifth
International ATLS meeting on Satur-
day and Sunday, October 9 and 10. ATLS
members from over 25 countries were
represented at this meeting. The pur-
pose of the meeting was to discuss spe-
cific revisions for the 2001 ATLS Course.
The enhanced interactive teaching
methods of the 1997 program will be
expanded in the next version, accord-
ing to Steve Parks, MD, FACS, Chair of
the ATLS Subcommittee.
The ATLS program continues to ex-
pand to other countries around the world
in adherence with guidelines that have
been established for international pro-
mulgation. The goal of ATLS promulga-
tion is to continue to provide a quality
educational experience for all who par-
ticipate as students in the course in the
31 countries where the program is au-
thorized. The members of the ATLS
Subcommittee are proud of the relation-
ship with our international colleagues
who continue to train half of the 15,000
individuals who participate in the course
each year. The purpose of the interna-
tional program is to facilitate the devel-
opment of systems of trauma care
utilizing ATLS as a common language
for all physicians who treat injured pa-
tients.
ORE ee ER
Speaker slide sets available
The Advisory Council for General Surgery has prepared slide sets with lecture
notes for general surgeons to use when lecturing to nonsurgeon groups. Slide
sets will be available for purchase at the ACS Publications booth. Please stop
by the booth on the concourse level of Moscone Center to view the
presentations on Breast Disease, Breast Disease (for lay audiences), Acute
Abdomen Curriculum, and Common Anorectal Disorders.
Pediatric Surgery Motion Picture
Sesssion, 1:00 to 3:30 pm, Co-authors
of third videotape, “Successful Separa-
tion of Ischiopagus Conjoined Twins,”
are: H. Gibbs Andrews, MD, FACS;
Milissa McKee, MD; Fritz Rector, MD,
FACS; Robert Hardesty, MD, FACS;
Howard Landa, MD; David Knierim,
MD, FACS; Don Moores, MD; and
Monte Fullerton, MD, FACS, Loma
Linda, CA.
General Surgery I Motion Picture
Session, 1:30 to 5:00 pm, “Laparoscopic
Ileocecal Resection for Crohn’s Disease
Complicated by Fistulas,” Herman H.
Kessler, MD, Erlangen, Germany
Tuesday, October 12
Ciné Clinic I: Gastric Surgery, 8:30
am-12:30 pm, The first videotape pre-
sentation has been replaced by: “Gas-
trectomy for Cancer,” by Murray F.
Brennan, MD, FACS, New York, NY.
Discussant: Prof. John Wong, MD
(Hon), FACS (Hon), Hong Kong.
Wednesday, October 13
Trauma Motion Picture Session, 1:00
to 3:00 pm, “Damage Control in Vascu-
lar Trauma: A New Use for Intravascu-
lar Shunts,” by Robert B. Ballard, MD,
Paul G. Newman, MD, Jeffrey P.
Salomone, MD, Grace S. Rozycki, MD,
FACS, Russell Ronson, MD, Nicholas
Namias, MD, Walter L. Ingram, MD,
David L. Feliciano, MD, FACS, Atlanta,
GA.
Vietnam Surgical Society
to hold 30-year reunion
Thirty years ago it was noted that no
surgical organization had been estab-
lished for those surgeons who had been
dedicating their time and skills to the
care of the casualties of the Vietnam
War. The formation of the Surgical So-
ciety of Vietnam was announced in the
USARV Medical Bulletin, and it was
anticipated that informal reunion meet-
ings could be held in conjunction with
the annual meeting of the American
College of Surgeons. These meetings
have not always been possible nor ac-
complished, but the Clinical Congress
in San Francisco provides an excellent
opportunity for a reunion of old friends,
spouses, and significant others.
Acocktail reception will take place on
Monday evening from 6:00 to 10:00 pm
in the Regimental Room of the Marines
Memorial Club, 609 Sutter St. at Ma-
son. Members of the society or those
surgeons who wish to renew acquain-
tances are welcome.
wN
Jim Henry offers College jewelry
In technical exhibit booth 1305 many Congress participants will recognize a familiar
exhibitor—Jim Henry, Inc. For over 40 years, Jim Henry has offered Fellows of the College
an array of official ACS ties, jewelry, and other items from his family-run business.
Recent additions include ACS ties for men and women, blazer patches and buttons,
special plaques and desk accessories, and a popular custom-designed ring with the ACS
seal.
Interested Fellows are encouraged to stop by booth 1305, or contact Jim Henry, Inc., at
its headquarters in St. Charles, IL (tel. 630/584-6500, fax 630/584-3036).
The American College of Surgeons
October 10-11, 1999 11
Congress Notes
Program participants may
review slides and films
Beginning on Sunday at 10:00 am,
participants may review their slides and
films in the Speaker Ready Room, North
Hall, Moscone Center.
Ticket holders
Postgraduate course tickets are sized
to fit into the Congress badge holders.
You can keep track of your ticket(s) by
sliding it into the holder behind your
badge and revealing it at the door as
you enter the course room.
Portraits
Arrangements have been made with
Oscar & Associates to photograph Ini-
tiates and Fellows of the College who
desire to have full color or black-and-
white portraits taken in Fellowship
robes. A photographer will be available
in the North Hall of Moscone Center
during the following times: Sunday from
10:00 am until 6:00 pm, and Monday
through Thursday from 7:30 am until
6:00 pm.
It is suggested that you arrange for
your sitting as early in the week as
possible. Oscar & Associates will have
an assortment of official Fellowship caps
and gowns available for your use. There
is no charge for the sitting itself. Proofs
will be viewed in full color, from which
you may order either color or black-
and-white finished photographs. A
schedule of rates is available at the stu-
dio and appointment desk.
Initiates and Fellows who elect to be
photographed will see their “proofs” via
video screen immediately after their
sitting. Although the photography is
done by conventional process, an
Eastman Kodak electronic previewing
system will be used, which allows for
simultaneous recording on film and
video. This system allows the subject to
select favorite views prior to leaving the
studio area.
Exhibit rules
More than 150 scientific and approxi-
mately 290 technical exhibits will be on
display in Moscone Center. Hours are:
9:30 am-3:30 pm, Monday through
Wednesday, 9:30 am-1:30 pm, Thurs-
day. Scientific exhibits are located in
the North Hall, technical exhibits are
located in the South Hall.
Persons 16 years of age or older who
are accompanying surgeons are wel-
come to tour the exhibit areas. They
must register and pay $25 at the Social
Program registration area in Moscone
Center, North Hall. Children under the
age of 16 will not be admitted to the
exhibit areas.
Medical students, nurses, and allied
health personnel may tour the exhibit
areas without charge, provided they are
registered and have a name badge.
Spouses who register for the Social
Program may use the badge they re-
ceive to enter the exhibit areas. All other
persons registered for the Clinical Con-
gress may gain admittance by showing
their official badge.
Message and Information Center
The Message and Information Cen-
ter, located in the North Hall lobby of
the convention center, can provide you
with messages, information about the
programs and related activities, and the
names of individuals who are registered
and their hotels.
Once again, we will offer the MSv2
video-computer Internet messaging sys-
tem. The ACS Electronic Message Sys-
tem will utilize advanced network
technology to connect video message
kiosks that are located in prominent
areas of Moscone Center. Any person
who has access to the Internet may
leave a message using the show mes-
saging address:
clinicalcongress999.postmessage.com.
Simply search the list of attendees, then
post a message in their mailbox. Within
minutes, the name will appear on the
video-paging monitors along with the
message posted on site. The attendee
sees his or her name and retrieves the
message from their mailbox to read,
print, or reply. Also, look for confer-
ence and exhibitor updates on the infor-
mation kiosks located throughout
Moscone Center.
The message center will be staffed
Sunday, 10:00 am-6:00 pm, and Mon-
day-Wednesday, 7:00 am-5:00 pm, and
Thursday, 7:30 am-5:00 pm. The video
paging systems are operational 24 hours
a day. You may also use your laptop PC
and the Internet address at anytime to
post and/or receive messages.
Surgical Forum
The complete papers for most of the
368 titles presented in this year’s Forum
on Fundamental Surgical Problems are
published in the Owen H. Wangensteen
Surgical Forum, Volume L, which is on
sale during and after the Congress for
$25 per copy. Volumes are available in
Moscone Center, North Hall.
Audiotapes
Selected postgraduate courses, gen-
eral sessions, multidisciplinary pro-
grams, specialty sessions, and named
lectures will be recorded live and avail-
able on audiotapes. Additional informa-
tion and order formsare available during
the Clinical Congress at the National
Audio Video booth in Moscone Center,
North Hall.
Lost and found
Lost and found areas will be located
in the ACS Convention and Exhibit Of-
fice at Moscone Center, North Hall, and
in the Convention Office at the Hilton
San Francisco and Towers, Lombard,
Sixth Floor, Bldg. 3.
Caps and gowns
Distribution of caps and gowns will
be on Thursday, October 14, from 1:30
pm until the Convocation ceremony
begins, at Moscone Center, South
Lobby, Esplanade Level. Caps and
gowns may be turned in on Thursday at
the same location following the conclu-
sion of Convocation.
Friends of Bill W
Friends of Bill W will meet Sunday
through Wednesday, 7:00- 8:30 pm, at
the Hilton San Francisco and Towers,
Franciscan A.
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DEV. -LOPMEX
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Be sure to visit the ACS Resource Center, which provides a wealth of information on the
Advance Trauma Life Support® Course, the Commission on Cancer, the Committee on
Trauma, Communications activities, the Development Program, Fellowship, Socioeco-
nomic Affairs, and the National Cancer Data Base.
NOTE: The Resource Center is located in the technical exhibit area (booth 1017) of
Moscone Center. It will be open Monday through Wednesday from 9:30 am to 3:30 pm, and
Thursday from 9:30 am to 1:30 pm. (The hours and location for the Resource Center are
listed incorrectly in the Program Book)
Science and Humanism
Seminar to explore
sociology of gunshots
On Monday at 3:30 pm, C. Rollins
Hanlon, MD, FACS, will lead three
panelists in the discussion of Presiden-
tial Gunshots at this year’s Science and
Humanism Seminar. The seminar will
be held in Room 102 of Moscone Cen-
ter.
The panel will explore the sociology
of assassination in our open society.
According to Dr. Hanlon, who will mod-
erate this annual seminar, “Humanism
relates to why people do what they do,
and assassination reflects elements of
the sociological and cultural aspects of
our society.” Dr. Hanlon, is ACS Execu-
tive Consultant and former Director
(1969-1986) and President (1987- 1988).
The panelists joining him for the ses-
sion are:
Prof. Robert V. Remini, PhD, profes-
sor emeritus of history and historian,
University of Illinois at Chicago, who
will discuss “The Duelist, Andrew Jack-
son.
Donald D. Trunkey, MD, FACS, pro-
fessor and chairman, department of
surgery, Oregon Health Science Uni-
versity School of Medicine, Portland,
who will discuss “Presidents No. 16, 20,
25, and 35.”
Dennis S. O’Leary, MD, president,
Joint Commission on Accreditation of
Healthcare Organizations, Oakbrook
Terrace, IL, who will discuss “Ronald
Reagan.”
In 1981, this annual seminar began
under the general category of science
and humanism. Supported by a gener-
ous grant from the Charles E. Culpeper
Foundation, these seminars repeatedly
convened some 20 surgical educators
to discuss expansion of the surgical
teaching horizon. After four such invi-
tational seminars, the concept of a
greater emphasis on the humanities in
graduate surgical education was for-
mally endorsed by the ACS Board of
Regents, anda substantially larger, open
meeting at the Clinical Congress was
initiated in 1987.
Visit JACS booth
Seymour I. Schwartz, MD, FACS, and the editors of the Journal of the American
College of Surgeons (JACS) invite all readers, subscribers, and potential
authors to visit the JACS booth, technical exhibit #1404, during the Clinical
Congress. Members of the editorial staff will be on hand all day each day to
receive suggestions and to answer questions about the Journal.
12 The American College of Surgeons
October 10-11, 1999
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